Kate Fiske Massey, PHD, BCBA-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100505300 Issued in NJ

Practice address

811 Amboy Ave Ste B
Edison, NJ 08837-3275

Phone

(732) 301-4704

NPI assigned

Jan 11, 2022

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 21, 2024 through May 21, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Star Family Autism Center

  • Psychologist
  • Edison, NJ
  • NPI 1902557093
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1699426775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 AMBOY AVE STE B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373275",
            "telephone_number": "732-301-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 AMBOY AVE STE B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373275",
            "telephone_number": "732-301-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "KATE",
        "middle_name": "FISKE",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100505300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diellza Mashkulli, RPH
• Maria P Masih, MD
• Yasmin Masood, M.D.
• Mass Investment Inc.
• Madison Massaro, OTR/L
• Ruth Mathew
• Karin Lee Mathews, M.ED., CCC-SLP
• Robin M Mathews, RN, APN
• Cynthia Mathieu, APN
• Marie-Ange Mathis, APN

• Clinical Psychologist in Edison, NJ
• Providers in Edison, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.